Purpose: A foreign body detected in the anterior chamber 10 months after uneventful sutureless cataract surgery.
Case report: Clear corneal phacoemulsification and intraocular lens placement (PEA+IOL) were performed on a 74-year-old man suffering from vision loss caused by senile cataracts. After uneventful surgery, the postoperative course appeared to be problem-free.
Observation: However, 10 months after the operation, the patient reported blurred vision. Slit-lamp examination revealed an oil droplet, reminiscent of a foreign body, about 1 mm in diameter, on the IOL surface. The visual acuity problem did not become exacerbated and the anterior segment of the eye remained intact. Although we removed the foreign body, qualitative testing was impossible because the body disintegrated.
Conclusions: A rare case of a foreign body in the anterior chamber 10 months after uneventful PEA+IOL. We are of the view that the body may have been composed of ophthalmic ointment delivered from the conjunctival sac at the end of surgery.
Nippon Ganka Gakkai Zasshi (J Jpn Ophthalmol Soc) 120: 310-315, 2016.